ArticleCancer2018
Improvements in hospice utilization among patients with advanced-stage lung cancer in an integrated health care system.
Article in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The patient-centered oncology care on health care utilization and cost: A systematic review and meta-analysis.Health care management reviewPooled it
- The inverse palliative care law in advanced lung disease: a mixed-methods systematic review and meta-analysis.EClinicalMedicine · 2026Article
- Hospice enrollment in young adult LGBTQ + decedents with cancer: a multi-site single healthcare system study.BMC palliative care · 2025Article
- Associations between perceived interpersonal support and aggressiveness of care in the last month of life among patients with advanced cancer.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2024Article
- Intersection of Palliative Care and Hospice Use Among Patients With Advanced Lung Cancer.Journal of palliative medicine · 2023Article
- Association of Patient-Centered Elements of Care and Palliative Care Among Patients With Advanced Lung Cancer.The American journal of hospice & palliative care · 2023Article
- Relationships among clinicians are crucial to successful palliative care integration: a qualitative study in lung cancer.Future oncology (London, England) · 2023Article
- Patient Factors Associated with Different Hospice Programs in Korea: Analyzing Healthcare Big Data.International journal of environmental research and public health · 2022Article
- Article
- End-of-life patterns of symptom management and cancer-directed care among Medicare beneficiaries with lung cancer: a claims-based analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Article
- POLST Registration and Associated Outcomes Among Veterans With Advanced-Stage Lung Cancer.The American journal of hospice & palliative care · 2019Article
- The experience of providing hospice care concurrent with cancer treatment in the VA.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2019Article
- Association of Early Palliative Care With Chemotherapy Intensity in Patients With Advanced Stage Lung Cancer: A National Cohort Study.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2019Article
- Incidence of Suicide and Association with Palliative Care among Patients with Advanced Lung Cancer.Annals of the American Thoracic Society · 2018Article
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Authors and funding
9 authors.
Funding
Abstract
backgroundHospice, a patient-centered care system for those with limited life expectancy, is important for enhancing quality of life and is understudied in integrated health care systems.
methodsThis was a retrospective cohort study of 21,860 decedents with advanced-stage lung cancer diagnosed from January 2007 to June 2013 in the national US Veterans Affairs Health Care System. Trends over time, geographic regional variability, and patient and tumor characteristics associated with hospice use and the timing of enrollment were examined. Multivariable logistic regression and Cox proportional hazards modeling were used.
resultsFrom 2007 to 2013, 70.3% of decedents with advanced-stage lung cancer were enrolled in hospice. Among patients in hospice, 52.9% were enrolled in the last month of life, and 14.7% were enrolled in the last 3 days of life. Hospice enrollment increased (adjusted odds ratio [AOR], 1.07; P < .001), whereas the mean time from the cancer diagnosis to hospice enrollment decreased by 65 days (relative decrease, 32%; adjusted hazard ratio, 1.04; P < .001). Relative decreases in late hospice enrollment were observed in the last month (7%; AOR, 0.98; P = .04) and last 3 days of life (26%; AOR, 0.95; P < .001). The Southeast region of the United States had both the highest rate of hospice enrollment and the lowest rate of late enrollment. Patient sociodemographic and lung cancer characteristics were associated with hospice enrollment.
conclusionsAmong patients with advanced-stage lung cancer in the Veterans Affairs Health Care System, overall and earlier hospice enrollment increased over time. Considerable regional variability in hospice enrollment and the persistence of late enrollment suggests opportunities for improvement in end-of-life care. Cancer 2018;124:426-33. © 2017 American Cancer Society.
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